Provider First Line Business Practice Location Address:
1225 FORT UNION BLVD STE 125
Provider Second Line Business Practice Location Address:
URGENT CARE ADMIN
Provider Business Practice Location Address City Name:
MIDVALE
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84047-1871
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-233-4400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/16/2006